Disruptive solution of medical endoscopy mu kuzuula n’okujjanjaba okuyingira mu nsonga z’emisuwa

1、 Tekinologiya atabangula ow’okuyingira mu nsonga z’emisuwa gy’omusaayi

(1) Okukebera okukwatagana kw’amaaso mu misuwa (OCT) .

Okutaataaganyizibwa mu tekinologiya:

10 μ m resolution: emirundi 10 etegeerekeka okusinga angiography ey’ekinnansi (100-200 μ m), era esobola okuzuula obuwanvu bw’enkoofiira y’obuwuzi bwa plaque obuzibu (<65 μ m etwalibwa ng’ey’akabi ak’amaanyi ak’okukutuka).

AI plaque analysis: nga LightLab Imaging system egabanya ebitundu nga calcification ne lipid core mu ngeri ey’otoma okulungamya okulonda stent.

Ebikwata ku bujjanjabi:

(2) Okukuba ebifaananyi mu misuwa (IVUS-OCT) .

Okukulaakulana mu tekinologiya:

Boston Scientific Dragonfly OpStar catheter: Okufuna omulundi gumu mu kiseera kye kimu ensengekera y’ekisenge ky’emisuwa (OCT) n’omugugu gw’ebipande (IVUS).

Obutuufu bw’okusalawo ku kukuuma amatabi g’empenda ku biwundu ebikutuka (bifurcation lesions) bulongooseddwa okutuuka ku bitundu 95%.

2、 Enkyukakyuka ya endoscopic mu bulwadde bw’omutima obw’enzimba

(1) Okukebera ebyuma ebiyitibwa transesophageal endoscopic ultrasonography (3D-TEE) .

Mitral valve okuddaabiriza okulongoosa navigation:

Okugezesa mu kiseera ekituufu mu 3D kulaga ekifo emisuwa we gyakutuka (nga enkola ya Philips EPIQ CVx).

Obutuufu bw’okulaganya empenda mu kiseera ky’okuteekebwamu MitraClip bulongooseddwa okuva ku bitundu 70% okutuuka ku bitundu 98%.

Enkola eziyiiya:

Pima obuwanvu bw’ekifo ekiggule mu kiseera ky’okulongoosa okuzibikira omusuwa gwa kkono okukendeeza ku kukulukuta okusigaddewo (nga ekitundu ekitakka wansi wa mm 3 kituuka ku 100%).

(2) Okukebera omutima mu mutima (ICE) .

Okuggyamu emisuwa mu ngeri ya radiofrequency:

8Fr catheter erimu endoscope ya mm 2.9 (nga AcuNav V) okulaba obutereevu okwawula obusobozi bw’emisuwa gy’amawuggwe.

Okugeraageranya X-ray fluoroscopy: obudde bw’okulongoosebwa bwakendeezebwako ebitundu 40%, era obuvune mu nnywanto bwakendeera okutuuka ku ziro.

3、 Enteekateeka y’okulaba obutereevu ey’okuyingira mu nsonga z’amaato amanene

(1) Okukebera omusuwa gw’omusaayi (EVIS) .

Ebikulu mu by’ekikugu:

Weetegereze okukutuka kwa interlayer okuyita mu mukutu gwa waya elungamya ng’okozesa endabirwamu ya 0.8mm ultrafine fiber optic mirror (nga Olympus OFP).

Okunoonyereza ku yunivasite ya Stanford: Ensobi mu kuteekebwa mu kifo kya B-type sandwich stent yakendeera okuva ku mm 5.2 okutuuka ku mm 0.8.

Okwongera ku fluorescence:

Near infrared endoscopy eraga emisuwa egy’omu bitundu by’omubiri (intercostal arteries) oluvannyuma lw’okukuba empiso ya ICG okwewala obulabe bw’okusannyalala.

(2) Okuggyawo okuzimba omusaayi mu misuwa (venous endoscopic thrombus).

Enkola y’okusala thrombectomy mu ngeri ey’ebyuma:

AngioJet Zelante DVT catheter nga egattibwa wamu n’okulaba mu endoscopic erina omuwendo gw’okufuluma ogusukka mu 90%.

Bw’ogeraageranya n’obujjanjabi bwa thrombolytic therapy, ebizibu by’okuvaamu omusaayi byakendeera okuva ku bitundu 12% okutuuka ku bitundu 1%.

4、 Tekinologiya w’amagezi ne Robotics

(1) Enkola ya Magnetic Navigation Endoscopy Enkola

Stereotaxis Olubereberye MRI:

Magnetic guided endoscopic catheter emaliriza 1mm precision turn okujjanjaba chronic total occlusion (CTO) y’emisuwa gy’omutima.

Obuwanguzi bw’okulongoosa bweyongedde okuva ku bitundu 60% mu nkola ez’ekinnansi okutuuka ku bitundu 89%.

(2) Okuteebereza kw’omusaayi mu AI

FFR-CT nga egattibwa wamu n’okukebera endoscopy:

Okubala mu kiseera ekituufu ekitundu ekiterekeddwa mu kutambula kw’omusaayi nga kwesigamiziddwa ku CT ne endoscopic data okwewala okuteekebwamu stent mu ngeri eteetaagisa (negative predictive value 98%).

5、 Endagiriro za tekinologiya mu biseera eby’omu maaso

Endoscopy y’okukuba ebifaananyi bya molekyu:

Fluorescent nanoparticles targeting VCAM-1 okuwandiika ebiwundu by’emisuwa ebisooka.

Endoscope y’emisuwa evunda:

Catheter ya polylactic acid material esaanuuka oluvannyuma lw’okukola mu mubiri okumala essaawa 72.

Okutambulira mu ngeri ya holographic projection:

Microsoft HoloLens 2 ekola ebifaananyi bya holographic eby’omuti gw’emisuwa gy’omusaayi, okusobozesa okukola nga tewali screen.

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso by’ekkubo ly’okussa mu nkola

Ekifo ky’obulumi mu kifuba: Standard OCT+IVUS composite imaging catheter.

Valve Center: Zimba ekisenge ekilongoosebwamu 3D-TEE robot hybrid.

Ekitongole ky’okunoonyereza: Okukola ebizigo ebiyitibwa endoscopic coatings okuddaabiriza endothelial y’emisuwa.

Tekinologiya ono aleeta okuyingira mu nsonga z’emisuwa n’emisuwa mu mulembe gw’obusawo obutuufu nga bayita mu kumenyawo ebintu bisatu ebikulu: okukuba ebifaananyi ku ddaala ly’obutoffaali, okulongoosa mu kifo ekizibe, n’okuddaabiriza enkola y’omubiri. Kisuubirwa nti omwaka 2028 we gunaatuukira, ebitundu 80% eby’okuyingira mu mutima bijja kutuuka ku bulagirizi bwa AI endoscopic dual guidance.